[Ureteral stump empyema after heminephrectomy].
نویسندگان
چکیده
Uma adolescente de 15 anos foi observada no Serviço de Urgência por desconforto suprapúbico e febre. Tinha antecedentes de triplicidade uretral esquerda e nefrectomia polar superior, cinco anos antes. Ao exame objectivo apresentava dor à palpação profunda da fossa ilíaca esquerda, sem sinais de irritação peritoneal. Analiticamente com PCR elevada (98,4 mg/L) e sedimento urinário com 642 leucócitos/campo. Para esclarecimento de formação hipoecogénea identificada em ecografia realizou tomografia computorizada abdomino-pélvica que revelou formação tubular serpinginosa ao longo da vertente esquerda da escavação pélvica, com parede ligeiramente espessada e conteúdo hipodenso, de dimensões máximas de 42 por 135 milímetros. Esta estrutura correspondia ao coto ureteral, com sinais inflamatórios. Foi submetida a laparoscopia exploradora e excisão de coto ureteral. O empiema do coto ureteral é uma entidade rara, ocorrendo em cerca de 1% dos doentes submetidos a nefrectomia/heminefrectomia e ureterectomia parcial.1,2 O tratamento definitivo é a excisão do ureter remanescente.3,4
منابع مشابه
[Ureteral duplications and ureteroceles - surgical treatment].
OBJECTIVE To study clinical and radiological data and surgical treatment for symptomatic ureteral duplications in childhood, especially the results for superior polar heminephrectomies. METHODS Prospective observational study concerning 15 pediatric patients surgically treated following a protocol with a minimum follow-up of 6 months. RESULTS 93% of the patients presented urinary infection ...
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ورودعنوان ژورنال:
- Acta medica portuguesa
دوره 27 3 شماره
صفحات -
تاریخ انتشار 2014